Provider Demographics
NPI:1063408029
Name:ALSINA, JORGE L (MD)
Entity type:Individual
Prefix:DR
First Name:JORGE
Middle Name:L
Last Name:ALSINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4999 W 8TH AVE
Mailing Address - Street 2:SUITE 26
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3409
Mailing Address - Country:US
Mailing Address - Phone:305-556-4447
Mailing Address - Fax:305-556-6290
Practice Address - Street 1:4999 W 8TH AVE
Practice Address - Street 2:SUITE 26
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3409
Practice Address - Country:US
Practice Address - Phone:305-556-4447
Practice Address - Fax:305-556-6290
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-26
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME81871208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H54445Medicare UPIN
FL001157800Medicaid
FL06690ZMedicare ID - Type Unspecified
FL261026401Medicaid
H54445Medicare UPIN